synovectomy

Resection of the synovial membrane is the treatment of rheumatoid arthritis, rheumatoid arthritis, ankylosing spondylitis, gout, bone hyperplasia and other causes of synovitis. Treating diseases: synovitis gout Indication Patients with arthritis or synovitis have the following signs: 1. After 6 months of regular Chinese and Western medicine treatment, the effect is not obvious; 2. The joint has persistent pain; 3. The joint is intermittent or persistently swollen; 4. Check the synovial membrane that can reach the hypertrophy; 5, mild joint flexion deformity occurs; 6, X-ray film has early changes in lesions. Contraindications The patient is too old and should be filled with poor general condition. Preoperative preparation Antibiotics are routinely used before surgery. Surgical procedure Arthroscopic synovectomy: With the development of arthroscopic techniques, arthroscopic resection of the synovial membrane after the 1980s has gradually replaced the previous open surgery. The arthroscopy for hemophilia synovectomy requires skilled Technology has a certain degree of operational difficulty. The operating instrument and the arthroscope are alternately operated between the inner and outer entrances of the knee. The synovial tissue that affects the visual field at the entrance is first removed, and then a part of the synovial tissue is taken with a nucleus pulposus for a pathological examination at a typical site of synovial hyperplasia. Coexisting articular cartilage, meniscus and other lesions are treated before synovectomy. To reduce the impact of bleeding on the field of view. The synovial tissue seen under the microscope was completely removed. Finally, the arthroscope was inserted into the posterior space of the knee joint through the intercondylar fossa. The posterior and posterior lateral entrances were used to clean the synovial membrane in the posterior and posterior lateral space of the knee joint. Thoroughly flush the joint cavity and stop the blood with radiofrequency. Liquid knife synovectomy: It is the process of injecting drugs into the joint cavity instead of surgery. The drugs injected into the joint cavity can metabolize the synovial atrophy of the lesion. complication Possible complications include bleeding, infection, impaired joint mobility, and clotting factor resistance.

The material in this site is intended to be of general informational use and is not intended to constitute medical advice, probable diagnosis, or recommended treatments.